JESSICA KIBACK (APRN) – Women's Health Nurse Practitioner, NPI 1417414905
Women's Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JESSICA KIBACK (APRN)
1084 Cromwell Ave
Rocky Hill, CT 060673445
Phone: (860) 246-8568
Fax: (860) 493-7798
Type: Location
399 Farmington Ave Ste 230
Farmington, CT 060321944
Phone: (860) 246-8568
Fax: (860) 493-7798
Type: Location
148 Eastern Blvd Ste 100
Glastonbury, CT 060334321
Phone: (860) 246-8568
Fax: (860) 493-7798
Type: Location
201, Retreat Avenue, Hartford, Hartford County, Connecticut, 06102, United States
HARTFORD, CT 061062528
Phone: (860) 246-8568
Fax: (860) 493-7798
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $256.
Total Amount is formed as General ($256) + Research ($0) + Ownership ($0) = $256.
Last reported payment date: 2024-04-17 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($150).
Total Amount
$256
General + Research + Ownership
Payments
6
Total payment records
General Amount
$256
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-17
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-12-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221221000138 | I | Nurse Practitioner | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06067)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | CT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| - | CT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CT | |
| Certified Nurse Midwife (Cnm) | CT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CT | |
| Certified Nurse Midwife (Cnm) | MD | |
| - | CT | |
| - | CT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CT |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.